Professional Development Workshop

Registration for Professional Development Workshop on June 24th, 2008

Spring Workshop Registration

Summer Institute 2008

2008 Professional Development Workshop

All Registrations Will Receive Email Confirmation

Just complete this form. Click on Submit when ready to send. Only click Submit once! A confirmation window will appear when your registration is complete, and you will see a message saying "Thank you for registering for the VT MIDI Professional Development Workshop!" and a link leading back to the wokshop page. The information given here will go through a third party for processing, so it is not secure. We are NOT able to accept credit card payments.

This form may also be printed and
faxed to: 802-879-3384
or mailed to: Sandi MacLeod, VT MIDI Project, Inc.
30 Steeplebush Rd., Essex Junction, VT 05452

Questions? Contact Sandi MacLeod by email or by phone: 802-879-0065 or 802-578-8580

Checks, money orders, and purchase orders
should be made out to:

VT MIDI Project, Inc.,
30 Steeplebush Rd.
Essex Junction, VT 05452

Name:
Home Street Address:
City/Town:
State & Zip:
School/Organization Name:
School/Organization Street Address:
School/Organization City/Town:
School/Organization State & Zip:
Email Address:
Home Phone:
Work Phone:
What method of payment do you plan to use? Checks can be made out to: The Vermont MIDI Project, Inc., 30 Steeplebush Dr., Essex Junction, VT 05452	Check Money Order/Cashier's Check Purchase Order
PO Number:
PO Amount:

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